A 5-year prospective quality of life analysis following laparoscopic adjustable gastric banding for morbid obesity

Obes Surg. 2011 Oct;21(10):1585-91. doi: 10.1007/s11695-011-0425-y.

Abstract

Background: In addition to actual weight loss and the possible resolution of obesity-related co-morbidities following bariatric surgery, another widely recognized important outcome measure is the improvement of quality of life (QOL).

Methods: Disease-specific quality of life (DSQOL) and general health-related quality of life (HRQOL) were measured preoperatively and at 1 and 5 years postoperatively following laparoscopic adjustable gastric banding (LAGB) for morbid obesity. The Moorehead-Ardelt questionnaire was used for DSQOL assessments and a generic 15-dimensional questionnaire (15D) was used for HRQOL measurements. In addition, HRQOL was compared with that of the age- and gender-standardized general population.

Results: DSQOL scores were significantly improved on all domains after 1 year from the operation and this improvement was maintained at 5 years. This improvement was also seen in the total HRQOL scores. Despite this improvement, the HRQOL after LAGB remained worse compared to the age- and gender-standardized general population.

Conclusions: DSQOL and HRQOL improve both significantly after LAGB. This QOL improvement is maintained at 5-year follow-up although QOL does not reach the level of the general population.

MeSH terms

  • Adult
  • Aged
  • Female
  • Gastroplasty*
  • Humans
  • Laparoscopy
  • Male
  • Middle Aged
  • Obesity, Morbid / surgery*
  • Prospective Studies
  • Quality of Life*
  • Treatment Outcome
  • Young Adult